Raghu Venugopal MD @raghu_venugopal
Emergency Physician Toronto Joined September 2013-
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@raghu_venugopal and it’s ok to sign those patients out to the oncoming doc and not stay long after your shift to wrap it up and get the admit
The most important "test" in the ER is the bedside MD clinical evaluation of the patient. Sometimes the at end of a shift, some docs like to "cherry pick" but that can backfire. Rather, the priority should be the longest waiting patient and the most sick patient - regardless of…
Unstable, intra-abdominal free fluid, and shock. From the ER point of view the diagnosis is less important than the full-court press resuscitation and emergent evaluation by a staff general surgeon and extremely likely, emergent laparotomy. I know some cases where the "why" the…
The greatest 1 line in ER: "I am waking up the entire hospital to try to save the life of your loved one". Gen Surg, Ob/gyn, Blood bank, Radiology, OR, Anesthesia. My peer said this with laser focus, to comfort and to reassure, and saved a life. Ontario healthcare at its best.
Mercifully, Mr. Poilievre is not a physician, peer support worker, or therapist. His foray into health policy will make things worse. President Nixon unveiled the "war on drugs" in 1971 with stunning failure to a health and social problem needing a multi-pronged approach.
Mercifully, Mr. Poilievre is not a physician, peer support worker, or therapist. His foray into health policy will make things worse. President Nixon unveiled the "war on drugs" in 1971 with stunning failure to a health and social problem needing a multi-pronged approach.
Mr. Trump is welcome to visit Toronto and share his beliefs even if many Canadians like me disagree with him. "Freedom of expression" is widely practised in Canada, as evidenced by his ability to share his unfortunate remarks. @DonaldJTrumpJr thestar.com/news/gta/donal…
It is a legitimate question to ask if Ontario's Ministry of Health has a policy approach that is either a) incompetent or b) willfully sabotaging patient care when they strip an ER with no hospital beds.
It is a legitimate question to ask if Ontario's Ministry of Health has a policy approach that is either a) incompetent or b) willfully sabotaging patient care when they strip an ER with no hospital beds. https://t.co/c9PrYHIJSf
If you want to know what happens to the ER when you lose or don't have hospital beds - let me tell you - the ER becomes a ward and the ER becomes waiting room medicine and standing at the counter medicine. When 90% of Ontario hospitals are running a deficit with a useless 1%…
I agree these capital gains changes are not a deal-breaker and are a hyperbole cause to leave Canada (the greatest nation in the world). But I expect Federal Health Minister Holland to understand his own irritating tax policy affecting MDs. @markhollandlib
I agree these capital gains changes are not a deal-breaker and are a hyperbole cause to leave Canada (the greatest nation in the world). But I expect Federal Health Minister Holland to understand his own irritating tax policy affecting MDs. @markhollandlib
Be fast, be kind and be right. In ER these are the 3 priorities. It unfolds into a lifetime pursuit + continuous improvement. Adjustment to one affects the others. The centrality is Medical Expert. Shared Humanity and Inclusive Compassion is part of this pursuit. @Royal_College…
0435: Toronto Police, Toronto Fire, Toronto EMS - it is an honour to work alongside you as we together try to save one life in the chain of survival. You are finest Night's Watch. Thank you a lot. @TorontoPolice @TPAca @TPSMyronDemkiw @Toronto_Fire @TPFFA @TorontoEMS_live…
It is important to ask how to best train MDs for the type of patients I have recently treated with: chest pain, abdominal pain, bowel obstruction, vomiting, joint dislocation, altered mentation, intoxication, febrile illness, extremity injury, agitated delirium, myocardial…
It is important to ask how to best train MDs for the type of patients I have recently treated with: chest pain, abdominal pain, bowel obstruction, vomiting, joint dislocation, altered mentation, intoxication, febrile illness, extremity injury, agitated delirium, myocardial…
After 23 years of work with vulnerable populations globally, much social advocacy and practise from minor ailment to extremis, I agree CanMEDS needs adjustment with the centrality of MD as Medical Expert. My model is not as educational expert but as regular MD. @Royal_College…
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@raghu_venugopal @PeterJohns84 I use his videos in every single one of the courses I teach. Valuable contribution to the world of practitioners!
@raghu_venugopal and it’s ok to sign those patients out to the oncoming doc and not stay long after your shift to wrap it up and get the admit
At the heart of exceptional patient care is a compassionate doctor- who deeply cares for humanity.
Be fast, be kind and be right. In ER these are the 3 priorities. It unfolds into a lifetime pursuit + continuous improvement. Adjustment to one affects the others. The centrality is Medical Expert. Shared Humanity and Inclusive Compassion is part of this pursuit. @Royal_College…
@raghu_venugopal @Royal_College Love it. It resonates coming from someone who truly knows pt care whether in the inner city or in the global health realm. You continue to be a champion for pts and learners. The key and bounding principle is that you are not trying to promote yourself. Keep advocating.
@raghu_venugopal @Royal_College Yes, you care about patients you’re not pushing an agenda. You understand medicine and it’s not an opportunity to virtue signal.
Let’s get this right. The Government, not Trudeau, agreed to a request from Vancouver to suspend criminal penalties for personal use of drugs. Seems when the Feds do not do what a province wants they are bad. But somehow it is their fault when the provinces changes its position?
Try and get a detox bed for an ER patient. Just once.
Or a bed from the ICU. @PierrePoilievre Dont patronize Canadians . If really want to help, learn how complex the struggles are and how intertwinedin multiple lived issues, in illness and mental health, in housing, etc etc before spouting simplifications/ nonsense / glibness
Try and get a detox bed for an ER patient. Just once.
@dd_tirc @raghu_venugopal When Medicare was set up, doctors lost the ability to set their own prices but no pension plan was set up; eventually provinces said instead of funding a pension plan or raising the fee schedule, we will let you have corporations to save money for retirement through capital gains
@TantaliznMoksha @raghu_venugopal MDs have gone to school for 4 yrs undergrad 4 yrs med school 4 yrs residency 2- 3 years fellowship for specialties I have worked with MD's I have needed MDs for my own healthcare as well as family. They save lives You could do that to if you chose Poverty is a different issue
@raghu_venugopal And if the patient doesn’t have a valid health card, you will be paid $0.00! There are so many long standing (and many simple fixes) billing issues that it’s no wonder physicians feel jaded!
What kind of dressings should be applied to simple lacerations? To burns? To diabetic foot ulcers? Check out this @WeAreCanadiEM post by Ali Khorrami on wound dressings for common wounds in the Emergency Room! canadiem.org/dressing-choic… @EmergencyCareBC @EMResUBC #FOAMed #meded
@raghu_venugopal Unbelievable. When I think of what I pay my vet for the simplest things….
@raghu_venugopal @PfParks Why would anyone want to be a Family Doctor?
Dizziness can be fun. Run toward, not away. Well, not when you have it. 🤢
You cannot run or hide from the dizzy patient and that is why Dr. Peter Johns' YouTube channel on this critical topic is so essential. @PeterJohns84 youtube.com/@PeterJohns84
@KarenGreengma @TrueCan15200205 @raghu_venugopal @rechievaldez @cafreeland @CanadianPM @CMA_Docs 67% of Capital Gains will be taxed. There are no exceptions for small professional corps, such as Family Doctors-taxed on the first $ taken out of the vehicle they were told to save for retirement in. Works out to an additional 8%, applied retroactively to the retirement funds.
@raghu_venugopal Yeah the boutique services are fun. Pierre Cardin rather than Wal-Mart. It’s hard to be an everything-ologist, especially since “everything” becomes bigger every day. Big respect to those who stick it out.
@raghu_venugopal @CAEP_Docs @alandrummond2 @TrevorJain @Kapur_AK Everyone needs to show up.
The minister is accurate, if you need emergency care in Ontario and you don’t have valid OHIP, you will never be turned away. Every ED doc and surgeon I know has provided this care. The issue is that we provide this care for free. We don’t get paid for it. That’s the issue.
The Ontario Minister of Health continues a tradition of ER docs providing free medical care (to those OHIP eligible and not eligible) without valid OHIP - knowing our ethical and medicolegal framework and we will turn no one away. @OntariosDoctors @SylviaJonesMPP